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Despite always exercising & eating a very good junk-free

A 2020 study found that men on a folate-deficient diet had significantly lower sperm counts compared to controls on adequate folate intake, suggesting a direct nutritional impact on spermatogenesis

One cause can be liver stress due to your hypothyroid state, meaning it wont be doing a good job clearing out your excess B12

While oral supplements can be effective for some, they may not provide the quick boost or high absorption rates needed for people with more significant deficiencies

You have higher levels of the chemicals homocysteine and methylmalonic acid and reduced DNA synthesis, leading to neurological and psychological symptoms, such as confusion, mood swings, problems walking or talking, and irritability